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AKT1 E17K Inhibits Cancer Cell Migration by Abrogating β-Catenin Signaling
Sizhi Paul Gao1, Amber J Kiliti1, Kai Zhang1
1Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York.
Abstract:
Mutational activation of the PI3K/AKT pathway is among the most common pro-oncogenic events in human cancers. The clinical utility of PI3K and AKT inhibitors has, however, been modest to date. Here, we used CRISPR-mediated gene editing to study the biological consequences of AKT1 E17K mutation by developing an AKT1 E17K-mutant isogenic system in a TP53-null background. AKT1 E17K expression under the control of its endogenous promoter enhanced cell growth and colony formation, but had a paradoxical inhibitory effect on cell migration and invasion. The mechanistic basis by which activated AKT1 inhibited cell migration and invasion was increased E-cadherin expression mediated by suppression of ZEB1 transcription via altered β-catenin subcellular localization. This phenotypic effect was AKT1-specific, as AKT2 activation had the opposite effect, a reduction in E-cadherin expression. Consistent with the opposing effects of AKT1 and AKT2 activation on E-cadherin expression, a pro-migratory effect of AKT1 activation was not observed in breast cancer cells with PTEN loss or expression of an activating PIK3CA mutation, alterations which induce the activation of both AKT isoforms. The results suggest that the use of AKT inhibitors in patients with breast cancer could paradoxically accelerate metastatic progression in some genetic contexts and may explain the frequent coselection for CDH1 mutations in AKT1-mutated breast tumors. IMPLICATIONS: AKT1 E17K mutation in breast cancer impairs migration/invasiveness via sequestration of β-catenin to the cell membrane leading to decreased ZEB1 transcription, resulting in increased E-cadherin expression and a reversal of epithelial-mesenchymal transition.
Insights
The AKT1 E17K mutation in breast cancer unexpectedly inhibits cell migration by increasing E-cadherin and decreasing ZEB1. This finding suggests AKT inhibitors may paradoxically accelerate metastasis in certain breast cancer genetic contexts.
Area of Science:
- Molecular Oncology
- Cancer Genetics
- Cell Signaling
Background:
- The PI3K/AKT pathway is frequently activated in cancer, but PI3K and AKT inhibitors have shown limited clinical success.
- Understanding the specific roles of AKT isoforms in cancer progression is crucial for developing effective targeted therapies.
Purpose of the Study:
- To investigate the biological impact of the AKT1 E17K mutation using a CRISPR-edited isogenic system.
- To elucidate the molecular mechanisms underlying the effects of AKT1 activation on cancer cell migration and invasion.
Main Methods:
- CRISPR-mediated gene editing to create an AKT1 E17K-mutant isogenic system in a TP53-null background.
- Analysis of cell growth, colony formation, migration, and invasion.
- Investigation of E-cadherin, ZEB1, and β-catenin expression and localization.
Main Results:
- AKT1 E17K expression enhanced cell growth and colony formation but paradoxically inhibited cell migration and invasion.
- This inhibition was mediated by increased E-cadherin expression due to suppressed ZEB1 transcription via altered β-catenin localization.
- AKT2 activation had opposing effects, reducing E-cadherin expression, and AKT1's pro-migratory effect was absent in cells with PTEN loss or PIK3CA mutations.
Conclusions:
- The AKT1 E17K mutation impairs breast cancer cell migration/invasiveness through a mechanism involving increased E-cadherin and decreased ZEB1, reversing epithelial-mesenchymal transition.
- Targeting AKT inhibitors in breast cancer patients with specific genetic alterations (e.g., AKT1 mutation) could potentially accelerate metastatic progression.
- Frequent co-selection for CDH1 mutations in AKT1-mutated breast tumors may be explained by this AKT1-specific inhibitory effect on migration.
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